MEHEZA TCHEDIE PANNLA NP
NPI 1720788243
Nurse Practitioner - Family in Little Chute, WI

Q: What is Meheza Tchedie Pannla's NPI number?

The NPI number for Meheza Tchedie Pannla is 1720788243. It was assigned to this individual provider in the NPPES registry on March 3, 2023.

Q: What is Meheza Tchedie Pannla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since March 03, 2023PECOS EnrolledAccepts Medicare Assignment

200 PATRIOT DR, LITTLE CHUTE, WI 54140(920) 687-2800 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 3, 2026, May 8, 2023, Mar 31, 2023 and 1 more (4 updates tracked since 2023).

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About Meheza Tchedie Pannla Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEHEZA TCHEDIE PANNLA NP (NPI 1720788243) is an individual family provider in Little Chute, Wisconsin, licensed in Wisconsin (13494-33) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1720788243

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMEHEZA TCHEDIE PANNLACredential: NP

Location Address200 PATRIOT DRLittle Chute, WI 54140-1184

Mailing Address200 Patriot DrLittle Chute, WI 54140-1184 · (920) 687-2800

Phone(920) 687-2800

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 3, 2023

Last NPPES UpdateMarch 3, 20264 updates tracked since enumeration

NPPES CertifiedMarch 3, 2026

✔ NPI 1720788243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WI · 13494-33

200 PATRIOT DR, Little Chute, WI 54140

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Other Identifiers 1

Medicaid100235805WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Network Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Meheza Tchedie Pannla Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688039100

PECOS Enrollment IDI20230504002461

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC

Clinic/Center (Multi-Specialty)